La Clinica Medical Botox

A Non Surgical Minimally Invasive Lifting Treatment to Enhance, Lift and Rejuvenate.

Shadow lines on a models face with purple mauve background and medium deep blue eyes.
Botox is a neurotoxin in powder form and it is reconstituted with saline at extremely low concentrations and injected into the muscle just beneath the surface of the skin.

Neurotoxins such as botulinum toxin type A were discovered in 1946. This toxin is a complex protein made from the bacteria clostridium botulinium. In 1980 Dr. Jean Carruthers from Vancouver discovered that his patients when treated for blepharospasm were left with practically no expression lines between their eyebrows. Neurotoxins were then used to treat muscle spasms in the face when a fantastic side effect was observed. Patients were left with fewer wrinkles in the skin overlying the treated muscles in the facial area. Physicians began using neurotoxins for cosmetic purposes, and in 1997 when they were first approved by the FDA in the US for cosmetic use. In 2001 Health Canada approved the use of neurotoxins for the expression lines between the eyebrows. By 2005, forehead lines, crow’s feet and many more areas are approved for use in Canada.

Botox Cosmetic is the #1 selling treatment of its kind: It’s the first and only treatment FDA and Health Canada approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults. Drastically reducing the signs of aging, sagging skin, jowling, wrinkles, headaches, frowns and more, with extended consistent use. 



Botox Cosmetic targets one of the underlying causes of frown lines, crow’s feet and forehead lines — the repeated muscle contractions from frowning, squinting, smiling and raising the eyebrows over the years. For cosmetic applications, 

When a muscle contracts, nerves release the neurotransmitter acetylcholine at the junction where the nerve cell meets the muscle cell. Acetylcholine acts a chemical messenger, attaching to the muscle cell and telling the muscle to shorten, or contract. Neurotoxins interfere with this communication by preventing the nerve cell from releasing acetylcholine. When the muscle cell contracts less, it becomes less stiff, and the overlying skin appears smoother. Using neurotoxins for cosmetic procedures generally takes up to 2 weeks for the full effect to be observed and results typically last up to 4 months. It is now the most popular minimally invasive non-surgical cosmetic treatment carried out in North America and continues to grow rapidly due to its success, with over 6 million treatments each year.

Your specialist will inject these muscles with Botox Cosmetic to temporarily reduce muscle activity. You will begin to notice your frown lines between your brows, your crow’s feet lines and your forehead lines will improve. With repeated treatments, your wrinkles and fine lines will soften long term. 

  • Safe for ANY skin type!


All injectable treatments are performed by Jacob Fiby, RNFA. Jacob has been working in the medical field for over 19 years in both plastic surgery and urology at Humber Valley Hospital. Jacob has elevated himself to the position of First Surgical Assistant and perform minor surgical procedures. 

Not only is Jacob a cosmetic injector, he also provides training and instruction to other nurses on the safe procedures and protocols when it comes to injectables. He is intelligent, kind and has excellent technique when providing treatments. 

The most common areas for Botox injections include:

  1. Glabellar lines (between the eyebrows): Smoothing frown lines or “11s” between the eyebrows.

  2. Forehead lines: To reduce horizontal lines and wrinkles.

  3. Crow’s feet: To soften lines around the eyes when smiling.

  4. Bunny lines: Wrinkles that appear on the nose when you scrunch up. 

  5. Marionette lines: Around the mouth where lines form at the corners.

  6. Neck bands: To relax the muscles in the neck.

  7. Skin on the Neck: Superficial injections to relax the wrinkles of the skin. 

  8. Chin: To prevent dimpling

  9. Under the Chin: To tighten the laxity of muscle causing the turkey neck.

  10. Nose: To firm up flared nostrils, refine the tip and contract the nose for a softer appearance.

  11. Swan Neck -Trapezius: For elongation of the neck, which benefits in also reducing pain from repetitive injury.


It has been shown if Botox is used for ten or more years, your skin will appear brighter and smoother with fewer wrinkles. Even after stopping Botox injections after years of use, you’ll still notice fewer wrinkles between your eyes or on your forehead, which means you’ll continue to age gracefully.

  1. Enhances Natural Beauty: Botox injections enhance natural beauty by reducing wrinkles and lines, providing smoother, younger-looking skin.

  2. Improves Health Conditions: Botox has been shown to treat various health conditions, including chronic migraines, depression, muscle spasms, and excessive sweating.

  3. Non-Invasive and Fast Procedure: Botox is a non-invasive, fast procedure with nearly immediate results, making it a convenient option.

  4. Prevents Dynamic Wrinkles: While effective against dynamic wrinkles, Botox doesn’t directly enhance skin quality.

  5. Additional Uses: Botox may unexpectedly help conditions like cleft palate and premature ejaculation.

  6. Anti-Aging Effect: Widely known for its anti-aging effect, Botox takes years off the face.

  7. Confidence Boost: Botox enhances confidence by softening facial lines and creases.

  8. Long-Term Cost Savings: Opting for Botox in your 20s or 30s may result in fewer future treatments, offering long-term cost benefits.

Botox goes beyond cosmetic benefits, addressing health conditions and providing a convenient, non-invasive solution with additional unexpected uses.


Botox Cosmetic is a technique-sensitive treatment. You can trust Botox Cosmetic to deliver natural-looking results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy and who also understands you unique facial expression. 

When administered by a skilled and experienced practitioner, Botox is designed to provide subtle enhancements without creating an unnatural appearance. Botox works by temporarily relaxing specific facial muscles, reducing the appearance of wrinkles and fine lines. Here are important factors to consider to avoid an unnatural look with Botox:

  1. Qualified Practitioner: Our RNFA is a qualified and experienced medical professional and Cosmetic Nurse Injector and Trainer who has a wealth of experience. Their expertise is essential for precise and balanced injections.

  2. Conservative Approach:  Communication of your aesthetic goals and desired result will assist you in achieving a conservative result. Our RNFA can adjust and tailor your treatment and gradually adjusting to your preference. This prevents over-treatment and allows for a more natural and gradual result.

  3. Artistic Skill: Our RNFA as a Cosmetic Nurse Injector as a deep understanding of facial anatomy and with an artistic skill can strategically administer Botox for a natural and harmonious outcome.

  4. Natural or Smooth?
    Whether you seek to have a natural result maintaining expression and soften and reduce wrinkles over time, or you seek a smooth appearance or even something in the middle, any result can be achieved. You highlight your desired outcome and we will personalize the result. 

By working with a reputable practitioner and having realistic expectations, Botox can help you achieve a refreshed and natural look. You will look like yourself—only with less noticeable lines. You will be seen as refreshed and well-rested.


Botox typically involves minimal downtime and side effects, making it a popular choice for non-invasive cosmetic procedures. However, it’s important to be aware of potential effects and follow post-treatment care recommendations. Here’s what you can generally expect:


  1. Immediate Effects: Botox starts to take effect within a few days, with full results appearing in about 1.5-2 weeks.
  2. Normal Activities: 
    Most individuals can resume normal activities immediately after the procedure. 

Common Side Effects:

  1. Temporary Bruising: Mild bruising at the injection site may occur but is usually temporary.
  2. Redness or Swelling: Some people may experience slight redness or swelling at the injection sites, typically resolving within a few hours to a day.
  3. Headache: Temporary headaches are a rare side effect but may occur.

Uncommon Side Effects:

  1. Drooping Eyelid or Brow: In rare cases, Botox can cause temporary drooping of the eyelid or brow, especially if not administered by a skilled practitioner. This typically resolves on its own.
  2. Flu-Like Symptoms: Some individuals may experience mild flu-like symptoms, which are usually short-lived.

Duration of Results:

  • Botox results are temporary, lasting approximately 3-6 months. Regular maintenance treatments may be needed to sustain the effects.

It’s crucial to choose a qualified and experienced practitioner for Botox injections to minimize the risk of side effects and ensure optimal results. Additionally, following post-treatment care guidelines provided by your practitioner can help enhance your overall experience and minimize potential side effects. If you have any concerns or experience unusual reactions, promptly consult with your healthcare provider.

You may resume your daily activities immediately after your treatment. However, we instruct clients to be mindful for 4 – 6 hours post-treatment. We inform them to not work out as this would halt Botox’s effectiveness. During the 4 – 6 hours you must not lay down as this will cause unwanted migration resulting in a droopy eye.


While it is generally considered safe when administered by a trained professional, there can be side effects. Some common side effects of Botox include:

  1. Pain or Bruising: Discomfort or bruising at the injection site is common.

  2. Headache: Some individuals may experience headaches after receiving Botox injections.

  3. Flu-Like Symptoms: In rare cases, individuals may experience symptoms such as fatigue, weakness, or flu-like symptoms.

  4. Muscle Weakness: Botox works by temporarily paralyzing muscles, and in some cases, this can lead to temporary muscle weakness.

  5. Drooping Eyelids or Eyebrows: If the Botox spreads beyond the intended area, it can cause drooping of the eyelids or eyebrows.

  6. Dry Eyes or Excessive Tearing: Botox injections near the eyes can sometimes cause dryness or excessive tearing.

It’s important to note that serious side effects are RARE when Botox is administered by a qualified and experienced practitioner. However, it’s crucial to discuss potential side effects with your healthcare provider before undergoing the treatment. Additionally, individual reactions can vary, so it’s important to seek medical attention if you experience any unusual or severe symptoms after receiving Botox injections.


Post-care instructions following Botox injections are essential to optimize results and minimize potential side effects. While specific guidelines may vary, here are general post-care instructions:

  1. Avoid Touching Treated Areas:

    Refrain from touching, rubbing, or applying pressure to the treated areas immediately after the procedure.

  2. Remain Upright:

    Stay in an upright position for at least four hours after the treatment. Avoid lying down or engaging in strenuous physical activity during this time.

  3. Avoid Heat Exposure:

    Stay away from saunas, hot tubs, and intense heat for the first 24 hours after the procedure. Heat can increase blood flow and potentially affect the distribution of the toxin.
  4. Skip Intense Exercise:

    Avoid vigorous exercise and activities that may increase blood flow to the face for the first 24 hours.

  5. Be Cautious with Skincare Products:

    Use gentle skincare products and avoid treatments that may irritate the skin for the first few days.

  6. No Alcohol or Blood Thinners:

    Refrain from consuming alcohol and blood-thinning medications for at least 24 hours, as these can increase the risk of bruising.

  7. Follow-Up Appointments:

    Attend any scheduled follow-up appointments as recommended by your practitioner.

  8. Be Patient:

    Results take time to develop. Be patient and allow the Botox to take effect over the following days and weeks.

  9. Report Any Issues:

    If you experience unusual side effects or have concerns, promptly contact your healthcare provider.

Always follow the specific post-care instructions provided by your practitioner, as individual circumstances may warrant personalized recommendations. These guidelines aim to enhance the effectiveness of the treatment while minimizing potential complications.



Some clinics may charge by injection area or unit. We charge by unit so we can provide a truly tailored treatment. You can choose to customize areas of most importance all at once or in separate visits. 

Price per unit: $12




An OxyGeneo facial, is a device system that delivers  highly concentrated oxygen molecules on the skin’s epidermis to nourish the skin and increase collagen production while depositing botanical extracts and minerals. OxyGeneo facial differs from other traditional oxygen facials based on oxygenation techniques. Unlike other traditional facials, OxyGeneo facial facilitates oxygenation by bringing oxygen-rich blood cells to the surface. OxyGeneo facials are also highly popular among celebrities, where stars like Madonna and Candice Swanpeol have regular OxyGeneo Facials. 

“The OxyGeneo three-in-one super facial works upon the natural process of our body to oxygenate the skin from within,” explains Moshe Ben-Shlomo, MSc, a physicist and the cofounder of beauty supply company DermaSpark
. “It capitalizes on a well-known effect called ‘Bohr effect,’ to trigger the body to oxygenate the skin naturally from within. The Bohr effect is a natural process that takes place in our body from the moment we come to the world and until the moment we leave it. The OxyGeneo works with the body, never against it.”

What makes OxyGeneo® a Super Facial? OxyGeneo provides 3 effective facial treatments simultaneously. It combines gentle exfoliation, natural skin oxygenation, and a deep facial rejuvenation with the infusion of essential revitalizing nutrients.

HOW DOES IT WORK? What is the Bohr Method?

Backed by science, the oxygenation process works through a phenomenon called the Bohr Effect. In order to understand the efficacy of OxyGeneo, understanding the Bohr Effect is essential. Our body naturally responds to high levels of Carbon Dioxide (CO2) by causing the muscles and tissues to release more Oxygen (O2). CO2 essentially signals O2 to split from the hemoglobin, a protein in red blood cells. O2 then travels to where it is needed in the body. CO2 bonds to the blood cell and is released from the body through the lungs.

Science in action with the OxyGeneo treatment, the initial gentle exfoliation of the skin generates many CO2 bubbles at the skin’s surface. Through the aforementioned Bohr Effect, O2 replaces the CO2– leading to increased cellular activity and optimal skin oxygenation. While the skin is oxygenated, the final step of the treatment, nourishment, comes into play. This is where active ingredients, nutrients, and vitamins penetrate the skin.

If you’re looking to put your best face forward when it comes to skincare, look no further. OxyGeneo is the treatment supported by science and medical research, to rejuvenate the skin from within.

What are the resuLTS I can expect?

Breakthrough OxyGeneo® Technology provides superior anti-aging results by treating the skin at a deeper level.
3 in 1  Skin Therapy:  Exfoliate, Infuse, and Oxygenate your way to youthful skin. Here are a few of the benefits:

  • Plump and hydrate
  • Restore skin volume
  • Renew a youthful glow 
  • Revitalize dull complexion
  • Reduce appearance of wrinkles
  • Firm skin and tighten pores
  • Improve skin cell production
  • Reduce appearance of pigmentation
  • Safe for ANY skin type!

Who is a candidate?

OxyGeneo Facials use 100% therapeutic active ingredients that are free from chemicals, dyes and preservatives. They are vegan-friendly and have never been tested on animals. The facial is non-irritating, extremely hydrating, and suitable for all skin types – even those with acne, eczema, rosacea, and psoriasis conditions. Conditions like these must not have broken skin. 

The follow conditions are contraindications:  

  • Active skin conditions such as cold sores, psoriasis, eczema, etc.
  • Recent laser procedures (ablative & non-ablative)
  • Botox or Filler injections within 2 weeks prior
  • Use of AHS’s, BHA’s, Retinol, Retinoids, or Peels
  • Recent micro-needling within 2-3 weeks prior
  • Recent Permanent make-up
  • Active sunburn/blistering

How Soon can I see results and How Often Are TreaTments?

Results are immediate. You will notice radiance and illumination in your skin. Oxygen has been deposited and absorbed by your skin and as a result, you will continue to be beneficial as your skin is supported by easily absorbed oxygenation. However, as we know, our skin needs maintenance to maintain longevity and more treatments mean more benefits! 


It is important to understand the differences between these two devices and when people are candidates. These treatments are created for all skin types, but with the ability to treat sensitive skin who want to treat their skin conditions safely. Each of these devices have their own specialty, OxyGeneo oxygenates, HydraFacial MD hydrates. Oxygenation is deeper penetrating treating the skin deeper past the epidermis and down into the dermis because the OxyGeneo is utilizing pressurized oxygen, oxygenating at the skin at the cellular level 

with other skin care steps to acquire a smoother, brighter, and healthier skin. The HydraFacial MD is form of an exfoliation through suction, and active ingredients. With the HydraFacial MD System’s solutions it can lighten hyperpigmentation with actives and also provide rejuvenating benefits with multiple and consistent treatments. 

Upgrading both of these services by using their upper tier treatments for longevity. For the HydraFacial MD it’s their CTFG Boosting serum and for OxyGeneo it is their Tripollar RF Skin Tightening Treatment. 

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